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  INSTRUCTIONS :

( Please read following instruction carefully, before filling in the form )
a) This form is to be filled in by the applicant.
b) Applicant who knowingly or willfully furnishes incorrect or false information or suppresses material information will be disqualified and if appointed will be liable for dismissal without notice.
  Post Applied For :

For City/ State:
  Date of Interview :
   DD   MM    YYYY
Time :
Name in Full (in block letters) Mr./Ms./Mrs.
Address Present :
Address Permanent :

Phone :
Phone :
Date of Birth :
 DD
MM
  YYYY
 
Place of Birth :
 
State :  
Age :
Caste :
Domicile :
 
Height :
Weight :
Kg.
Vision :
 
Phaysical handicap if any :
Hobbies :  
MARITAL STATUS :
 
Bachelor
Married
Widow
Widower
Divorcee
Children (If any)
Name
Age

Qualification

Occupation

Income (PM)

Wife
Father
Brother / Sister
Mother
Other Family Member
EDUCATIONAL QUALIFICATION :
Sr. No.
Examination Passed
School / College / University
Class / Division
% of Marks
Subjects
Year of Passing
1.
           
2.
           
3.
           
4.
           
5.
             
Note : Furnish Exact Details of - Break in Your Educational Career if Any
 
Particulars of Special Training Undergone
Any Visit to Abroad ? if so give details.
Do You Possess a Passoport ?
if so provide
Number :
Validity :
 
DD
MM
YYYY
Yes   No
Driving licence No.
Validity :
 
DD
MM
YYYY
WORK EXPERIENCE :
Sr. No.
Name of the Organisation
Designation
Period of Employment
Last Salary Drawn
Per Month
From    
    To
Mth / Yr.    
    Mth / Yr.
1.
2.
3.